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  1. Adverse drug events in hospitalized cardiac patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 2023 - Study Adverse drug events in hospitalized cardiac patients. Citation Text: Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  2. Digital Healthcare Research

    digital.ahrq.gov/
    January 01, 2023 - Program Impact: Transforming Healthcare Through Digital Innovation Discover ways digital healthcare research is powering real-world solutions. Annual Report: Improving Healthcare Through AHRQ’s Digital Healthcare Research Program Examine the real-world use of digital healthcare technologies to advance healt…

  3. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

    psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

  4. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet

    psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
    September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…

  5. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  6. Patient Safety Research Summaries. | PSNet

    psnet.ahrq.gov/issue/patient-safety-research-summaries
    December 24, 2008 - Book/Report Patient Safety Research Summaries. Citation Text: Patient Safety Research Summaries. Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.  Copy Citation Save Save to your library Print Download PDF Share Face…

  7. Home Health Care | Digital Healthcare Research

    digital.ahrq.gov/type-care/home-health-care
    January 01, 2023 - Home Health Care A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Description This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching tec…

  8. Cognitive biases associated with medical decisions: a systematic review. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
    March 01, 2023 - Review Cognitive biases associated with medical decisions: a systematic review. Citation Text: Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. Copy Citation Format: …

  9. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet

    psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

  10. Spinal surgery and patient safety: a systems approach. | PSNet

    psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
    January 12, 2022 - Review Spinal surgery and patient safety: a systems approach. Citation Text: Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  11. Expanded surgical time out: a key to real-time data collection and quality improvement. | PSNet

    psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
    March 02, 2010 - Study Expanded surgical time out: a key to real-time data collection and quality improvement. Citation Text: Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32. Copy Cita…

  12. Incidents during out-of-hospital patient transportation. | PSNet

    psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
    March 23, 2011 - Study Incidents during out-of-hospital patient transportation. Citation Text: Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  13. Performing an inadvertent procedure. | PSNet

    psnet.ahrq.gov/issue/performing-inadvertent-procedure
    October 16, 2019 - Commentary Performing an inadvertent procedure. Citation Text: Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  14. Side errors in neurosurgery. | PSNet

    psnet.ahrq.gov/issue/side-errors-neurosurgery
    November 17, 2010 - Study Side errors in neurosurgery. Citation Text: Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  15. Alarm algorithms in critical care monitoring. | PSNet

    psnet.ahrq.gov/issue/alarm-algorithms-critical-care-monitoring
    February 03, 2010 - Review Alarm algorithms in critical care monitoring. Citation Text: Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525-37. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  16. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.   | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-sedatives-analgesics-and-other-drugs-provide-patient-comfort
    March 11, 2011 - Review Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.   Citation Text: Riker RR, Fraser GL. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensiv…

  17. The SBAR communication technique: teaching nursing students professional communication skills. | PSNet

    psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
    June 22, 2022 - Commentary The SBAR communication technique: teaching nursing students professional communication skills. Citation Text: Thomas CM, Bertram E, Johnson D. The SBAR communication technique: teaching nursing students professional communication skills. Nurse Educ. 2009;34(4):176-80. doi:10.…

  18. Checking In on the Checklist. | PSNet

    psnet.ahrq.gov/issue/checking-checklist
    July 11, 2023 - Book/Report Checking In on the Checklist. Citation Text: Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  19. ACOG Committee Opinion #681: disclosure and discussion of adverse events. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adverse-events
    May 22, 2019 - Commentary ACOG Committee Opinion #681: disclosure and discussion of adverse events. Citation Text: Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. Copy Citation Format: Google Scholar…

  20. Pharmacist involvement in a rapid-response team at a community hospital. | PSNet

    psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
    August 08, 2018 - Commentary Pharmacist involvement in a rapid-response team at a community hospital. Citation Text: Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8. Copy Citation Format: Google Scholar PubMe…
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